Dianne Kathleen Shea M.D.

NPI 1053337329 - Psychiatry & Neurology - 2084P0800X

NPI Details
NPI 1053337329
Gender Female
Enumeration Date 07/13/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
3019 COIT AVE NE
GRAND RAPIDS MI, 49505-3376, US
Phone (616) 365-9575
Fax (616) 365-9480
Business Location
4665 ALDUN RIDGE AVE NW
#109
COMSTOCK PARK MI, 49321-9034, US
Phone (616) 647-4181
Fax
Toxanomy
Taxonomy Code 2084P0800X
License State Hawaii
License Number MD-6051
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According to our database, Dr. Dianne Kathleen Shea M.D. NPI is 1053337329, taxonomy code is 2084P0800X and license number is MD-6051, license state is located at Hawaii. Dianne Kathleen Shea M.D. physically located at 3019 Coit Ave Ne, Grand Rapids MI, 49505-3376. NPI Number Dianne Kathleen Shea M.D. has the Individual type.

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1053337329 NPI number is provided on an as is basis without warranty of any kind. 1053337329 is maintained by the National Plan & Provider Enumeration System. The contents of Dianne Kathleen Shea M.D. are for informational purposes only.